MIGEL BRANDON ENRIQUEZ DALUSUNG

PONTIAC, MI
NPI1699540153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-11-15
Last Update Date2024-09-09
Business Address
MIGEL BRANDON ENRIQUEZ DALUSUNG
461 W HURON ST STE 103
PONTIAC, MI 48341-1601
Phone number: 586-457-7756
Mailing Address
MIGEL BRANDON ENRIQUEZ DALUSUNG
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 586-202-3318
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